Aesthet Surg J. 2024 Aug 16;44(Supplement_1):S3-S14. doi: 10.1093/asj/sjae082.
The adoption of enhanced recovery after surgery (ERAS) protocols in multiple surgical disciplines has revolutionized perioperative care, demonstrating reduced complications and shorter hospital stays across surgical specialties. ERAS protocols have increasingly been incorporated in plastic surgery, yet a notable gap in the literature on ERAS for gender-affirming surgery (GAS) still exists. A scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify studies on ERAS protocols in GAS. The aim of this review was to assess the current status of ERAS adoption in GAS, evaluate its impact on perioperative care, and provide recommendations for future research and clinical practice. While there is an overall scarcity of evidence-based ERAS protocols across GAS, published studies on the application of ERAS in GAS have demonstrated promising early outcomes and illustrate an area for further investigation and innovation in plastic surgery.
术后强化康复（ERAS）方案在多个外科专业中的采用彻底改变了围手术期护理，显示出在多个外科专业中并发症减少和住院时间缩短。ERAS 方案已越来越多地纳入整形手术，但在性别肯定手术（GAS）的 ERAS 文献中仍存在明显的差距。本研究按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行了范围综述，以确定 GAS 中关于 ERAS 方案的研究。本综述的目的是评估 GAS 中 ERAS 采用的现状，评估其对围手术期护理的影响，并为未来的研究和临床实践提供建议。虽然 GAS 中整体缺乏基于证据的 ERAS 方案，但已发表的关于 GAS 中 ERAS 应用的研究显示出有希望的早期结果，并说明了在整形手术中进一步研究和创新的领域。
